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HomeMy WebLinkAboutX2021-0102 - Permit Application+ r,,FQFirt ± orKtft"'tfor itb,Pdrm1t'Application Newport Beach - Building Division _ Please print 3 copies City of Ne °` ° •` s Associated Building Permit # e" 1 Anil �//n I • ;1 n� <„op„, 1. Prnianv Fire Sprinkler r Fire Alarm rFiVreVMlisc`�Wq , -- 11 -UL mamng address) 1119%1 Tenant Name 2. Description of Work Extg Sq Ft F7777 f7 New [ Add I N e.w Por i— h _ n3'0-(' _new 1) e hec 3s 1"o %Op� New/Added Sq Ft Total Sq Ft Alter j Demo Check Appropriate Box for Applicant/Notification ❑ 3. Owner's Name Last 't(Nn G i �If\i�iYl ' Firsrr Owner's Address Floor F— �I Suite No # Units Use Valuation $ # Stories Owner's E-mail Address city ---- �JpS _eGC�ll State - �-� Zip li�q,(p(��'j Telephone +�C _ 4• Architect/Desi nees Name ' t� Li 14 i Ci 9 -� g Last Architect/Designer's Address 3c �o n (j• nn F E^.First RAhC� 11) e C} lJ � Lic. No. �— ArchitecttDesigner's E-mail Address -y 7Q- -�(�- �Ct O Ct t31.14 _. City t State �- Last I L'm Engineer's Address u(llf Vl_ I • _ city p S L L �: is i S U Cxc�f , c rn - /} nch ea m - StateFCA Zip j a(�` Telephone�— j o5�3B� First l l f- C Lic. No. 'i 3 a s j( 7�`� r Contractor's E-mail Address n - t Zipj q 70��U1s`c�u��r����1.C�!� ' Telephone Zip Telephone (u1i-�gyl� gin First Lic. No. Eneer's E-mail Address os Contractor's Name Last C ntractor's Address City val lE -F�t)t)tQ1R State Fc�__ OFF/CE USE ONLY TYPE OF CONSTRUCTION 121 0 OCCUPANCY- GROUP 061 %< PERMIT NO. PLAN CHECK NO. PLAN CHECK FEE R